Provider Demographics
NPI:1336731280
Name:MARKER, CARINA MARIE (LMT)
Entity type:Individual
Prefix:MRS
First Name:CARINA
Middle Name:MARIE
Last Name:MARKER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 N MOLTER RD STE 250
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-7582
Mailing Address - Country:US
Mailing Address - Phone:509-893-9938
Mailing Address - Fax:
Practice Address - Street 1:2207 N MOLTER RD STE 250
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-7582
Practice Address - Country:US
Practice Address - Phone:509-893-9938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist